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Salter's osteotomy and Dega osteotomy
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
The incision is then retracted over the iliac crest and the dissection is carried down to the apophysis of the crest. The anterior superior iliac spine is identified. The lateral femoral cutaneous nerve is visualized as it travels just medial to the tensor-Sartorius interval and just distal to the inferior iliac spine; it is always protected and marked with a vessel loop extending by an angle roughly equivalent to the angle of the osteotomy opening.
Wound care
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Tensor fascia lata (TFL) is a type 1 flap based on the ascending or transverse branch of the lateral circumflex femoral artery (LCFA). The muscle arises from the anterior superior iliac spine (ASIS) and greater trochanter of the femur and inserts as fascia lata/iliotibial tract to the lateral tibial condyle, and thus helps to maintain lateral knee stability.
Direct Anterior Approach to the Hip Joint
Published in K. Mohan Iyer, Hip Joint in Adults: Advances and Developments, 2018
We mark the operated hip to show the anterior superior iliac spine (ASIS), the interval between the sartorius and rectus femoris anteriorly and the TFL posteriorly, and the proximal femur. The incision starts 2 cm distal and posterior to the ASIS, and it continues obliquely distally and posteriorly over the TFL for 8-10 cm but can be shorter, if desired. The incision is extensile, if necessary (Fig. 17.4).
Trunk and lower extremity long-axis rotation exercise improves forward single leg jump landing neuromuscular control
Published in Physiotherapy Theory and Practice, 2022
John Nyland, Ryan Krupp, Justin Givens, David Caborn
Surface electromyographic (EMG) electrode sites at the preferred stance LE (i.e. the LE opposite to the one subjects preferred to use when kicking a ball) were cleansed with isopropyl alcohol and shaved. Figure eight-shaped Ag/AgCl bipolar adhesive electrodes (4 cm × 2.2 cm) with two circular conductive areas (each 1 cm diameter) and a 2 cm inter-electrode distance (Dual electrode #272, Noraxon, Scottsdale, AZ) were applied to the skin in parallel to the mid-muscle belly of gluteus maximus, gluteus medius, vastus medialis, rectus femoris, vastus lateralis, medial hamstrings, biceps femoris, and the medial head of gastrocnemius (Konrad, 2006). A reference electrode was applied over the anterior superior iliac spine of the preferred stance LE. Electrode sites were demarcated with an oil-based surgical skin marker to enable consistent pretest, posttest placement. Subjects were instructed to take short showers between the pretest and posttest periods and to only “pat” dry the marked skin areas.
Surgical anesthesia for revision total hip arthroplasty with quadratus lumborum and fascia iliaca block
Published in Baylor University Medical Center Proceedings, 2019
Johanna Blair de Haan, Nadia Hernandez, Sophie Dean, Sudipta Sen
The blocks were performed under ultrasound guidance with the patient in the supine position in the preoperative holding area. A high-frequency linear ultrasound transducer and a 21-gauge blunt-tipped echogenic needle were used for both blocks. The FI block was performed as described by Hebbard et al.3 Using the ultrasound transducer in a parasagittal plane, the anterior superior iliac spine was identified. The ultrasound probe was translated medially until the “bowtie” of the FI appeared over the iliacus muscle, bound cranially by the internal oblique muscle and caudally by the sartorius muscle. Following skin sterilization, the needle was advanced in plane in a caudal-to-cranial direction until normal saline was seen to spread underneath the FI over the iliacus muscle, and 20 mL of 0.5% bupivacaine hydrochloride was deposited in this location. We then performed the QL type 1 block as described by Blanco and McDonnell.4 The ultrasound probe was placed between the iliac crest and the lower costal margin in a transverse orientation, and the external oblique, internal oblique, and transverse abdominis were identified. The probe was translated posteriorly and laterally until the transverse abdominis muscle terminated superficial to the QL muscle. The skin was sterilized. The needle was advanced in plane from anterior to posterior until the tip was positioned between the QL and internal oblique, medial to the termination of the transverse abdominis, and 20 mL of 0.5% bupivacaine hydrochloride was injected.
Patient-reported outcome and muscle–tendon pain after periacetabular osteotomy are related: 1-year follow-up in 82 patients with hip dysplasia
Published in Acta Orthopaedica, 2019
Julie Sandell Jacobsen, Kjeld Søballe, Kristian Thorborg, Lars Bolvig, Stig Storgaard Jakobsen, Per Hölmich, Inger Mechlenburg
The minimally invasive transsartorial approach for PAO was performed by 2 experienced orthopedic surgeons via 3 separate osteotomies (Troelsen et al. 2008). In short, an approximately 7 cm incision was made alongside the sartorius muscle beginning at the anterior superior iliac spine. The sartorius muscle was divided parallel with the direction of its fibers. The medial part of the split muscle was retracted medially together with the iliopsoas muscle, and this was followed by osteotomies. The patients were presented with a standardized post-surgery rehabilitation program on the ward, and discharged after approximately 2 days of hospitalization. Partial weight-bearing was allowed in the first 6–8 weeks. Moreover, all patients were offered an individual-based rehabilitation program of 2 weekly training sessions starting 6 weeks after PAO and lasting generally for 2–4 months.